Active NPI
Liang Wu, MD
- Nephrology Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- M-11883
- Practice address
- 3525 E Louise Dr Ste 100
Meridian, ID 83642-6303 - Phone
- (208) 999-0356
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.094784 | OH | |
| Nephrology Physician | 207RN0300X | MD160974 | OR | |
| Nephrology Physician | 207RN0300X | M-11883 | ID | Primary |
Addresses
Primary practice location
3525 E Louise Dr Ste 100
Meridian, ID 83642-6303
Mailing address
3525 E Louise Dr Ste 100
Meridian, ID 83642-6303
Phone (208) 999-0356
Other practice location 1
9850 W St Lukes Dr Ste 129
Nampa, ID 83687-7912
Phone (208) 463-3000
Other practice location 2
3277 E Louise Dr Ste 200
Meridian, ID 83642-9360
Phone (208) 463-3390
Other practice location 3
360 E Montvue Dr
Meridian, ID 83642-6318
Phone (208) 463-3000
Other practice location 4
746 N College Rd Ste A
Twin Falls, ID 83301-3486
Phone (208) 814-7230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073776258 | Medicaid | ID | |
| M-11883 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Meridian, ID 83642
Phone (208) 999-0356
746 N College Rd
Twin Falls, ID 83301-3486
775 Pole Line Rd W
Twin Falls, ID 83301-5823
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Hospital & facility affiliations
- Liberty Dialysis - Meridian
- Liberty Dialysis - Nampa
- Liberty Dialysis - Boise
- St Lukes Magic Valley Medical Center
- St Luke'S Regional Medical Center
- Minidoka Memorial Hospital
- St Luke'S Jerome
- St Luke'S Wood River Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.09 of 100
- Quality
- 77.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094784 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Southern Idaho Health Partners LLC | Current | Accepting new patients | |
| Liang Wu MD LLC | Nephrology | Past | Accepting new patients |
| University of Toledo Physicians LLC | Internal Medicine | Past | Accepting new patients |
| Interpath Laboratory, Inc. | Past | Accepting new patients | |
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Sylvania LTD | Internal Medicine | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
360 E Montvue Dr
Meridian, ID 83642
Phone (208) 855-2900
3277 E Louise Dr
Meridian, ID 83642
Phone (208) 489-5800
3277 E Louise Dr
Ste 200
Meridian, ID 83642
Phone (208) 463-3138
9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600
215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
746 N College Rd
Ste A
Twin Falls, ID 83301
Phone (208) 814-7230
515 East Ln S
Ontario, OR 97914
Phone (208) 501-8955
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Meridian, ID
- NPI 1609627843
-
- General Practice Physician
- Meridian, ID
- NPI 1952701401
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
-
- Internal Medicine Physician
- Sylvania, OH
- NPI 1790813764
-
- Clinical Medical Laboratory
- Pendleton, OR
- NPI 1548208440
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Meridian, ID
- NPI 1639115785
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Boise, ID
- NPI 1427472141
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Nampa, ID
- NPI 1396802070
Dialysis facility
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- Critical Access Hospital
- Jerome, ID
- NPI 1366874877
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1073776258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 E LOUISE DR STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426303",
"telephone_number": "208-999-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 E LOUISE DR STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426303",
"telephone_number": "208-999-0356"
}
],
"practiceLocations": [
{
"address_1": "9850 W St Lukes Dr Ste 129",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-463-3000",
"fax_number": "208-884-2979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3277 E Louise Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429360",
"country_code": "US",
"telephone_number": "208-463-3390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 E Montvue Dr",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426318",
"country_code": "US",
"telephone_number": "208-463-3000",
"fax_number": "208-884-2979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "746 N College Rd Ste A",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833013486",
"country_code": "US",
"telephone_number": "208-814-7230",
"fax_number": "208-734-1178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WU",
"first_name": "LIANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2024-08-20",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.094784",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OR",
"license": "MD160974",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ID",
"license": "M-11883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073776258",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M-11883",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.